Emphysematous pyelonephritis (EPN) is a severe, necrotizing renal parenchymal infection that is characterized by the production of intraparenchymal gas. EPN predominantly affects female diabetics, and ...

Background A 54-year-old nondiabetic male presented with high fever, vague lower abdominal pain and leakage of urine around his long-standing suprapubic catheter. Examination revealed pyrexia and ...

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they ...

A 48-year-old woman presented to the emergency department with three days of fever, along with rigors, left flank pain and oliguria. She had diabetic nephropathy with a baseline serum creatinine level ...

The urinary system is the drainage system of the human body for removing waste and extra water. It consists of the two kidneys, two ureters (which connect the kidneys and the bladder), a bladder and a ...

A 67-year-old woman with diabetes and poor glycemic control who had recently been treated for pyelonephritis presented to the emergency department in septic shock. Unenhanced CT revealed extensive gas ...

Chia-Chun Chiang, Yuh-Shiun Jong and Wei-Jie Wang ...